Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,785.47 / $15,795.00	Facility		$365.00	$4,785.47	$15,795.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,960.00 / $5,320.50 / $7,144.06	Facility	50	$3,960.00	$5,320.50	$7,144.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $136.94 / $311.89	Professional		$71.91	$136.94	$311.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $155.07 / $363.19	Professional		$92.55	$155.07	$363.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $162.83 / $326.18	Professional		$97.31	$162.83	$326.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $705.15 / $961.17	Facility		$372.64	$705.15	$961.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $174.31 / $354.70	Professional		$97.35	$174.31	$354.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $227.01 / $318.89	Professional		$112.72	$227.01	$318.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $184.85 / $346.27	Professional		$96.82	$184.85	$346.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $654.12 / $669.00	Facility		$55.00	$654.12	$669.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,495.73 / $2,902.12	Professional		$801.00	$1,495.73	$2,902.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.37 / $194.49 / $363.22	Facility		$110.37	$194.49	$363.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $187.00 / $426.50	Professional		$97.56	$187.00	$426.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $314.10 / $589.39	Professional		$314.10	$314.10	$589.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $252.38 / $398.61	Professional		$102.47	$252.38	$398.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $4,038.00 / $9,072.00	Facility		$1,800.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $180.36 / $453.00	Professional		$140.28	$180.36	$453.00